Individual provider Active NPI

Heather Valentine Mitten, MSN, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1891131348
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18105 Issued in TN
Practice address
8130 Country Village Dr
Suite 102
Cordova, TN 38016-2087
Phone
(901) 308-2915
Fax
(901) 566-1951
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18105 TN Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 138216 TN

Addresses

Primary practice location

8130 Country Village Dr
Suite 102
Cordova, TN 38016-2087

Mailing address

58 Timber Creek Dr
Cordova, TN 38018-4233
Phone (901) 566-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
138216TNMDAdult Psychiatric/Mental Health Registered Nurse
18105TNMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1891131348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 TIMBER CREEK DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184233",
            "telephone_number": "901-566-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 COUNTRY VILLAGE DR",
            "address_2": "SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162087",
            "telephone_number": "901-308-2915",
            "fax_number": "901-566-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTEN",
        "first_name": "HEATHER",
        "middle_name": "VALENTINE",
        "credential": "MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "18105",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "138216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.